| NPI | 1396025334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01074041A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 000000000000000) |
| 207R00000X Internal Medicine (Licence: IN 01074041A) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2016-07-14 |